Claim total
$916.49
base $76.30 · payer covered $733.19
The visit
- Class
- Inpatient
- Code
- 185389009
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 1994-02-26
- Stop
- 1994-02-27
The parties
- Provider
- provider Enoch Torp
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
3b110507-6544-1ce0-054d-bbfcfd75ca3c